Medical Billing Specialist
4 days ago
We are seeking a highly skilled Medical Biller to join our team at Kelberman Center Inc. The successful candidate will be responsible for managing the complete insurance contracting and credentialing processes, as well as processing billing and payment on claims for clinic and program services in a timely and accurate manner.
Key Responsibilities- Maintain working knowledge of enrollment and billing policies, guidelines, and updates for OPWDD-regulated programs and services, and third-party insurers.
- Engage third-party insurers to develop, maintain, and revise contracts for the agency and/or individual providers.
- Negotiate rates with third-party insurers.
- Complete single-case agreements with third-party payments as needed.
- Oversee proper collection of insurance prior-authorizations.
- Oversee accurate client insurance plan coverage and payment responsibility, including notification to client.
- Collect and oversee renewal/recertification of providers licenses/certifications.
- Manage providers malpractice/liability insurance coverage through the agency.
- Coordinate with providers to complete/update CAQH profiles and credentialing paperwork in a timely and efficient manner.
- Maintain Kelberman ETIN certifications for relevant programs and individual providers.
- Maintain working knowledge of CPT and ICD-9 coding principles, governmental and state regulations, protocols and third-party requirements regarding coding and billing documentation.
- Accurately submit/oversee submission of billing claims to Medicaid, Medicare, and third-party insurers.
- Responsible for researching unpaid claims to discern issues related to non-payment, (coverage limitations, billing, coding, or demographic errors)
- Contact Medicaid, Medicare, third-party payers, and clients to take appropriate corrective actions to secure payment on those claims.
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Medical Billing Specialist
1 week ago
Syracuse, New York, United States SUNY Upstate Medical University Full timeJob Summary:Analyze OP admits for appropriate billing requirements involving Advanced Beneficiary Requirement (ABN) waivers, pre-authorizations, referrals, correct insurance demographic information and medical necessity pertaining to documentation and coding.We are seeking a highly skilled Medical Billing Specialist to join our team at SUNY Upstate Medical...
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Medical Billing Specialist
4 weeks ago
Syracuse, New York, United States Kelberman Center Inc Full timeAbout the RoleWe are seeking a highly skilled Medical Billing Specialist to join our team at Kelberman Center Inc.Job SummaryThe Medical Billing Specialist will be responsible for managing the entire billing process, from insurance contracting and credentialing to payment processing and follow-up. This role requires strong attention to detail, excellent...
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Medical Billing Specialist
4 weeks ago
Syracuse, New York, United States Upstate University Hospital Full timeJob Summary: We are seeking a detail-oriented Medical Billing Specialist to join our team at Upstate University Hospital. The successful candidate will be responsible for following up on medical claims, investigating patient accounts, resolving denials, and fielding all incoming correspondence. Additionally, they will answer incoming phone calls from...
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Medical Billing Coordinator
2 weeks ago
Syracuse, New York, United States Helio Health Full timeOverviewAt Helio Health, we are seeking a skilled Billing Specialist to join our team. In this role, you will play a critical part in ensuring the accurate and timely submission of medical claims. With your expertise in practice management systems and attention to detail, you will be responsible for generating invoices, posting cash receipts, and following...
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Medical Billing Specialist for Business Office
4 weeks ago
Syracuse, New York, United States VETERANS HEALTH ADMINISTRATION Full timeJob SummaryWe are seeking a highly skilled Medical Billing Specialist to join our Business Office team. This is an exciting opportunity to utilize your analytical skills and attention to detail to ensure the efficient processing of medical claims.About the RoleAnalyze financial data and prepare reports for management, identifying trends and areas for...
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Billing Operations Specialist
1 week ago
Syracuse, New York, United States Rapid Response Monitoring Full timeWe are seeking a highly motivated Billing Operations Specialist to join our team in Syracuse, NY. This full-time position offers a competitive salary range of $23.00-$26.00 per hour.About the RoleAs a key member of our billing team, you will be responsible for handling customer inquiries, processing payments, and resolving billing discrepancies. You will...
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Accounts Receivable Billing Specialist
1 week ago
Syracuse, New York, United States Luck Grove Telecom Inc Full timeAt Luck Grove Telecom Inc, we are seeking an experienced Accounts Receivable Billing Specialist to join our team. The ideal candidate will have a proven background in accounts receivable and billing, with strong analytical skills and attention to detail.Job Description:The role of the Accounts Receivable Billing Specialist involves managing our invoicing and...
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Medical Billing Coordinator
3 days ago
Syracuse, New York, United States Upstate University Hospital Full timeCompany Overview:We are Upstate University Hospital, a leading healthcare provider dedicated to delivering exceptional patient care. Our team is passionate about making a difference in the lives of our patients and communities.Salary Range:The salary for this position ranges from $16.00 to $25.88 per hour, commensurate with experience and qualifications.Job...
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Billing Operations Coordinator
4 days ago
Syracuse, New York, United States Rapid Response Monitoring Full timeRapid Response Monitoring is seeking a skilled Billing Support Specialist to join our team. This role requires a blend of technical skills, customer service expertise, and attention to detail.Key ResponsibilitiesBilling Inquiries Handling: Respond to customer inquiries related to billing statements, invoices, and payment methods.Payment Processing: Process...
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Medical Billing Specialist
4 weeks ago
Syracuse, New York, United States Department of Veterans Affairs Full timeJob DescriptionAbout the RoleThe Department of Veterans Affairs is seeking a skilled Medical Billing Specialist to join our team. This full-time position is responsible for ensuring accurate and efficient financial processing within our Business Office.Key ResponsibilitiesAnalyze financial data to prepare reports for management, providing recommendations and...
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Medical Billing Team Lead
1 week ago
Syracuse, New York, United States Upstate University Hospital Full timeAbout the JobAt Upstate University Hospital, we are seeking a highly skilled Medical Billing Team Lead to join our team. This is an exciting opportunity for a seasoned professional to take on a leadership role and make a meaningful impact in our billing department.Key Responsibilities:Analyze and resolve work problems or assist employees in solving problems,...
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Medical Office Coordinator
2 weeks ago
Syracuse, New York, United States SUNY Upstate Medical University Full timeSUNY Upstate Medical University is seeking a highly skilled Patient Access Specialist to join their team. As a key member of the Patient Access Emergency Departments, this individual will play a vital role in ensuring smooth patient flow and proper registration for all patients.The ideal candidate will possess excellent written and oral communication skills,...
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Staff Assistant
3 days ago
Syracuse, New York, United States SUNY Upstate Medical University Full timeJob Description:As a Staff Assistant - Medical Coding, you will play a critical role in analyzing OP admits for appropriate billing requirements involving Advanced Beneficiary Requirement (ABN) waivers, pre-authorizations, referrals, correct insurance demographic information and medical necessity pertaining to documentation and coding. You will interact with...
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Syracuse, New York, United States CNY Fertility Center Full timeJob Title: Medical Benefits and Authorization SpecialistCNY Fertility Center is a leading provider of fertility services, seeking an experienced Medical Benefits and Authorization Specialist to join our team.The ideal candidate will possess excellent communication skills, a strong understanding of health insurance terms, and the ability to work in a...
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Diagnostic Imaging Specialist
3 weeks ago
Syracuse, New York, United States Medical Solutions Full timeWe're seeking a skilled Diagnostic Imaging Specialist to join our team in Syracuse, New York.About the JobThis 13-week contract position offers 36 hours of work per week with 12-hour shifts. As a Diagnostic Imaging Specialist, you will be responsible for performing various imaging procedures using state-of-the-art equipment.BenefitsAs a valued member of our...
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Medical Support Specialist
3 days ago
Syracuse, New York, United States Trinity Health Full timeJob Summary:As a Medical Support Specialist at Trinity Health, you will play a vital role in ensuring the smooth operation of our healthcare facilities. This position involves performing administrative and clinical duties under the direction of physicians, coordinators, and registered nurses. Your primary responsibilities will include scheduling...
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Accounts Receivable Billing Specialist
4 days ago
Syracuse, New York, United States Luck Grove Telecom Inc Full timeJob DescriptionLuck Grove Telecom Inc is seeking a highly skilled Accounts Receivable Billing Specialist to manage its invoicing and collections processes. This role involves handling invoicing, updating systems, applying payments, and managing collections to ensure all revenue is properly accounted for.Key Responsibilities:Generate and prepare invoices...
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Medical Imaging Specialist
7 days ago
Syracuse, New York, United States OneStaff Medical Full timeJob Title: Medical Imaging SpecialistWe are seeking a highly skilled Medical Imaging Specialist to join our team in Syracuse, New York. As an Interventional Radiology Technologist, you will play a critical role in revealing the interior of the human body using specialized imaging techniques.The ideal candidate will have strong technical skills and experience...
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Medical Technology Specialist
4 weeks ago
Syracuse, New York, United States Upstate Medical University Full timeUnlocking Innovation in HealthcareSUNY Upstate Medical University, located in Central New York, is a pioneering academic medical center. As the region's largest employer with 9,460 employees, it serves 1.8 million people and includes Upstate University Hospital; Upstate University Hospital at Community Campus; Upstate Golisano Children's Hospital, and...
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Medical Hemodialysis Specialist
4 weeks ago
Syracuse, New York, United States Fresenius Medical Care Full timeFresenius Medical Care, a leading provider of renal care services, is seeking a highly skilled and compassionate Medical Hemodialysis Specialist to join our team. This exciting opportunity will allow you to utilize your nursing expertise in a dynamic and supportive environment.About the Role:As a Medical Hemodialysis Specialist, you will be responsible for...